| Doctor Name: | STEPHEN LEE KANSIER |
| NPI Number: | 1356552491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 222242 |
| Business Practice Address: | 300 Prison Rd Represa, CA - 956713001 |
| Business Phone Number: | 9169852561 |
| Business Fax Number: | 9163513001 |
| Mailing Address: | 6017 Southerness Dr, EL DORADO HILLS |
| State: | CA |
| Postal Code: | 957627690 |
| Phone Number: | 9169852561 |
| Fax Number: | 9163513001 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 222242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |